Suprascapular and Axillary Versus Interscalene Blocks Regarding Phrenic Affection in Shoulder Surgeries

Launched by AIN SHAMS UNIVERSITY · Nov 4, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at the best way to manage pain during shoulder surgeries by comparing two different methods of nerve blocks. A nerve block is a procedure that helps to numb a specific area of the body to reduce pain. The researchers want to see whether a combination of suprascapular and axillary nerve blocks (which target specific nerves in the shoulder) is better than the interscalene nerve block (which targets a nerve in the neck) in terms of keeping the diaphragm, the muscle used for breathing, functioning well.

To participate in this study, you need to be between 18 to 60 years old, in good overall health (classes I and II on the ASA scale), and have a body mass index (BMI) between 18 and 35. Certain conditions, like infections at the injection site, psychiatric issues, or severe lung diseases, would exclude you from participating. If you join the trial, you can expect to receive one of the two types of nerve blocks before your shoulder surgery, and the researchers will use ultrasound to monitor how well your diaphragm is working during the procedure. This study is important as it aims to improve pain management and minimize complications during shoulder surgeries.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged between 18 - 60 years old.
• • Both sexes.
• • ASA physical status classes I - II.
• • Body mass index: 18-35 kg/ m2.
• Exclusion Criteria:
• • Infection at site of injection.
• • Psychiatric illness.
• • Central Nervous System Diseases like (epilepsy, stroke ...etc.) or neurological disease affecting patient's upper limb.
• • Dependence on opiates and psycho-dynamic medications.
• • Moderate to severe pulmonary disease.
• • Coagulopathy and bleeding disorders.
• • Allergies to drug used (Bupivacaine 0.5%).
• • Previous surgery at site of injection and history of radiotherapy.